Document Detail


Use of vacuum-assisted closure negative pressure wound therapy in combat-related injuries--literature review.
MedLine Citation:
PMID:  20358706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite surgical and technological advances, managing combat-related injuries remains challenging both within and outside of the war theater. Unique characteristics of a war theater such as environmental contamination, varying evacuation procedures, and differing levels of medical care, add to the complexity. The advent of body armor has increased blast survival rates and soldiers are surviving with increasingly mangled limbs that require lengthy, multifaceted care. An inherent high risk of infection contraindicates immediate closure for these wounds. There is growing reported use of negative pressure wound therapy with reticulated open-cell foam (NPWT/ROCF) as delivered by vacuum-assisted closure (VAC) therapy (KCI Licensing Inc., San Antonio, TX) as an adjunctive therapy in these open soft-tissue combat wounds. This review evaluates the efficacy of NPWT/ROCF for adjunctive treatment of wartime wounds. Following a literature review, data are summarized and presented.
Authors:
Daniel Hinck; Axel Franke; Friedrich Gatzka
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Military medicine     Volume:  175     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-02     Completed Date:  2010-06-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  173-81     Citation Subset:  IM    
Affiliation:
Department of General, Thorax and Visceral Surgery, Section Vascular Surgery Department, German Military Hospital Hamburg, Lesserstrasse 180, 22049 Hamburg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Humans
Military Personnel*
Negative-Pressure Wound Therapy / methods*
Treatment Outcome
War*
Wound Healing
Wounds and Injuries / etiology,  therapy*

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